A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast.

Apply a condom catheter to a client who is incontinent.

Deliver a clean voided urine specimen to the laboratory.

Feed a client who has bilateral casts due to upper arm fractures.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Performing blood glucose monitoring before breakfast is crucial for timely insulin administration and managing diabetes effectively.

B. Applying a condom catheter is important but can generally be done after more urgent tasks.

C. Delivering a clean urine specimen is important but less time-sensitive compared to blood glucose monitoring.

D. Feeding a client is important but may not be as urgent as tasks directly affecting medical management.

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Correct Answer is B

Explanation

Rationale:

A. Teaching about low-sodium foods requires specialized knowledge and should be performed by an RN.

B. Measuring and recording intake and output can be done by an AP, as it involves routine data collection rather than clinical judgment.

C. Wound irrigation is a more complex procedure that requires clinical skills and should be performed by an RN or LPN.

D. Evaluating pain relief involves clinical assessment and judgment, which is beyond the scope of an AP.

A. Removal of the nasogastric tube of a client who has been receiving enteral feedings B. Monitoring vital signs of a client who had an appendectomy 12 hr ago C. Application of antibiotic ointment to the arm of a client who has dermatitis D. Obtaining medical history information from a stable client who is being admitted

Correct Answer is B

Explanation

Rationale:

A. Removal of the nasogastric tube is a more complex task that typically requires the nurse’s assessment and judgment.

B. Monitoring vital signs is within the scope of tasks that can be assigned to assistive personnel. This task involves routine observation and does not require complex decision-making.

C. Application of antibiotic ointment requires specific knowledge about the condition and treatment, which is generally performed by a nurse.

D. Obtaining medical history information is a task that requires clinical judgment and interaction, and should be done by a nurse rather than an assistive personnel.

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A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer is B

Explanation

A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

Correct Answer is B

Explanation

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